Kisselev, Mikhail

Kisselev, Mikhail is an individual health care provider with primary practice located at 826 Sheldon Ave , Staten Island NY 10309-2445. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Kisselev, Mikhail can be contacted via phone (718) 652-1750.

Contact Information

Primary practice address
826 Sheldon Ave Staten Island NY 10309-2445
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 006681

Profile Details

NPI number 1902219074
LBN Legal business name Kisselev, Mikhail
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2014
Last updated Jun 6th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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